Best Procedure for Firming Neck and Chin?

It appears from your question that you don't have a lot of sagging of the neck structures (hanging skin, muscle bands, or fat).  If that is true, then the aging changes that you are seeing are most likely the result of diminished elasticity of the skin, which can cause the skin to crepe and wrinkle, giving the skin a 'chicken'  type of appearance. Loss of bone and fat along the jawline and in the chin itself can also contribute to a tired looking neck. 

When there is significant sagging of the neck structures, surgery is almost always the preferred procedure. But in your case it appears that you might benefit from a combination of less invasive procedures. I begin by assessing the need for filler in the chin and along the jawline. Then I look for ways to improve the tone and quality of the skin. I have had good success tightening and improving the skin of the neck and jawline by using a combination of needle-based radiofrequency and fractional ablative laser resurfacing. We do these procedures simultaneously to restore elastin, collagen and hyaluronic acid in the skin while we also improve the surface texture and visible signs of sun-damage. The procedure can be done safely and the results are very satisfying. 

The anatomy of the chin and neck from superficial to deep, includes skin, fat, muscle and deep fascia and bone over the chin.
In younger patients (under 40) who have recessive Chins they may get jowling and loose skin in the neck area. These patients are best managed with Neck Liposuction AND a Chin Implant.
For those above 40 that have jowling, lack neck definition and have loose skin or fatty necks the best procedure is a formal neck lift through a posterior face incision and chin incision. This will enable muscle tightening, fat contouring and skin removal to sharpen the neck.

It’s wonderful that your facial skin is in great condition! For addressing laxity and firmness in the neck and chin area, there are several non-surgical options to consider. Treatments like Facetite use ultrasound technology to stimulate collagen production, tightening the skin over time. Neuromodulators can help reduce horizontal neck lines, while dermal fillers or biostimulators like Sculptra® can restore volume and support the skin's structure. For those with excess fat under the chin, treatments like Belkyra® (Kybella®) can effectively contour the area. A consultation with an experienced provider will help determine the best approach tailored to your goals.

Good question!
It is a bit hard to tell without photos, as people use the term "firming" for many different things. A facelift is the most powerful tool for most of the issues of the lower neck/chin as it will treat sagging soft tissue and excess skin while sometimes also rejuvenating the appearance of the skin itself, but I completely understand not everyone is ready for or needs a facelift. There are other non-surgical options which can improve the quality of this area. If the issue is changes to the skin from sun damage or fine lines, you could benefit from a chemical peel or laser resurfacing. If the issue is excess skin, there are some in office procedures such as radiofrequency and submental liposuction which may be options.
Hope this helps!

Great question. It's difficult to tell without pictures, but a facelift and/or necklift is a great way to tighten the neck and chin. There are non-surgical options (threading, Ultherapy) but surgery is usually the most powerful way to address those area and have lasting results. Consult with a plastic surgeon for more options tailored to you.

In some, the neck can be contoured using liposculpture alone. However, when there is excess skin and neck muscle laxity a neck lift is needed for optimal results. When ageing is more advanced, to achieve a harmonious facial rejuvenation, the neck, brow or eyes may need to be treated at the same time as a facelift. One of the disadvantages of the so-called "mini-facelift" technique is that they are usually of minimal and short lasting benefit to the neck. If neck improvement is a priority, then the facelift incision will need to be continued behind the ear to allow removal of lax neck skin and tighten the neck muscles. These incisions are carefully hidden within the hair allowing women to wear their hair up. For those with more advanced ageing of the neck, and with those wanting recontouring of the neckline, a submental (front of) neck lift will usually deliver optimal results

Thank you for your
question. Without photos provided, it is rather difficult to tell. I would advise you to schedule a consultation
with a board certified plastic surgeon for a detailed examination to discuss
all possible treatment options and what your expectations are.

Thank you for your question. You have several options both surgical and non. I suggest you seek a board certified plastic surgeon for a consultation to go over what options best address your goals.  Best of luck!
Dr Dhaval Patel
Double Board Certified
Plastic Surgeon
Chicago
Hoffman Estates 
Oakbrook 
Orland Park

Hello, and thank you for your question. there are a multitude of options that we have found helpful in our practice of 25 years. We have found in selected patient's both ultherapy and thermi tight to be a good procedures. We can also consider laser resurfacing for some external skin tightening.I would recommend that you seek out a qualified board certified plastic surgeon in your area with expertise in these procedures. Discuss all of these options with an in person  consultation. Best of luck.

There are no good options for tightening neck and chin area.  I have seen many patients who have tried ultherapy and skin tight with no discernible results.  You probably simply need skin tightening with a lower face/neck lift.  It is easy under local anesthesia and only takes a couple hours. 

Thank you for your question. If you are not a facelift candidate, Ultherapy may be a viable option for you.  Ultherapy is an ultrasound technology that stimulates collagen production to provide a small lift as well as slow down the aging process.  Ultherapy is one of many non-surgical options available.  Having a consultation with a board certified plastic surgeon will give you the options for which you are a candidate.  Best wishes.